| NPI | 1063477834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NE 21269) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 43587) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-01-03 |